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NPI Code Detail

MEDICARE: RACHEL LIN DDS

MEDICARE: RACHEL LIN DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist15546MD

General Provider Information

NPI Number : 1770901282
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL LIN DDS
Provider Business Mailing Address
First Line : 350 N CLARK ST FL 6
Second Line :
City : CHICAGO
State : IL
Zip : 60654-4712
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3925 MINNESOTA AVE NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20019-2662
Country : US
Telephone Number : 312-274-4520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2014
Last Update Date : 06/16/2014

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